The origins of the Clinical Pharmacy Program at the University of California, San Francisco.
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Biomedical subjects
Publications and source records attributed to J E Goyan.
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The Ticlopidine Aspirin Stroke Study (TASS) and the Canadian-American Ticlopidine Study (CATS) were established by the Syntex Corporation to evaluate the potential efficacy of the antiplatelet agent ticlopidine. TASS was designed to address the use of the drug in the prevention of stroke in patients who had been diagnosed as having had one or more transient ischemic attacks (TIAs), using aspirin as a positive control. CATS was designed as a placebo-controlled trial to evaluate the drug's usefulness in prevention of a second stroke in patients after an initial stroke. Both studies were established in a "triple-blind" fashion where the patients, investigators, and Syntex were unaware of the patient assignments as to ticlopidine or control. In order to monitor the studies for potential toxicity/efficacy, Syntex established a "Safety Committee." The presentation describes, from the viewpoint of the Safety Committee, some of the issues raised by the results as they developed, by the investigators, the company, and the regulatory authorities involved. The decisions reached are discussed along with the rationale for those decisions and the outcomes.
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Since World War II, increased funding by government and industry has turned the 'education business' of American universities into 'knowledge business'. Interactions between universities and industry can take the form of consulting, affiliate programmes, contracts, extradepartmental research and development, exchanges of scientists, research agreements and the involvement of venture capital companies. The experiences of the School of Pharmacy, University of California at San Francisco, with these interaction models are described and evaluated.
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